Recognise the Signs
Common Symptoms
When exhaustion becomes your identity, it's time to investigate what's actually happening inside your body.
Unrelenting Fatigue
Bone-deep exhaustion that doesn't improve with sleep. Waking tired, crashing mid-afternoon, and relying on caffeine to function.
Wired-but-Tired at Night
Exhausted all day but wired at bedtime. A second wind at 10 PM that keeps you up until midnight or later.
Poor Stress Tolerance
Small stressors feel overwhelming. Emotional reactivity, feeling easily overwhelmed, and inability to cope with normal demands.
Brain Fog & Cognitive Decline
Difficulty concentrating, poor memory, mental sluggishness, and feeling like you're thinking through mud.
Sugar & Salt Cravings
Intense cravings for sugar, salt, or caffeine — your body's attempt to compensate for dysregulated cortisol and blood sugar.
Exercise Intolerance
Feeling worse after exercise instead of energized. Prolonged recovery time, post-exertional malaise, and muscle weakness.
Beyond the Surface
Root Causes We Investigate
HPA Axis Dysregulation
Chronic stress disrupts the hypothalamic-pituitary-adrenal axis, flattening cortisol rhythm and impairing the body's ability to mount an appropriate stress response.
Chronic Infections
Stealth infections (EBV reactivation, Lyme, mold illness) keep the immune system in a perpetual state of activation, draining energy reserves.
Mitochondrial Dysfunction
Damaged or depleted mitochondria — the energy factories inside every cell — reduce ATP production, causing fatigue at the cellular level.
Blood Sugar Dysregulation
Reactive hypoglycemia, insulin resistance, and poor glucose regulation cause energy crashes, brain fog, and cortisol spikes.
Thyroid Dysfunction
Subclinical hypothyroidism or poor T4-to-T3 conversion often coexists with adrenal dysfunction, compounding fatigue.
Nutrient Depletion
Chronic stress burns through B vitamins, magnesium, vitamin C, and CoQ10 at accelerated rates — creating deficiencies that worsen fatigue.
Our Process
The Functional Medicine Approach
We map your complete stress response, energy production, and recovery systems — then rebuild them systematically.
DUTCH Complete + Cortisol Mapping
We measure your complete cortisol rhythm (morning, noon, afternoon, night), cortisol metabolites, DHEA, melatonin, and sex hormones to map your entire HPA axis function.
Comprehensive Metabolic Workup
Thyroid panel, blood sugar markers (fasting insulin, HbA1c, glucose), nutrient levels (B12, iron, D, magnesium), inflammatory markers, and infection screening.
Energy Restoration Protocol
Targeted supplementation for mitochondrial support, adrenal recovery, and nutrient repletion — combined with strategic dietary and lifestyle changes.
Stress Response Rehabilitation
We rebuild your stress resilience through sleep optimization, nervous system regulation techniques, exercise prescription, and ongoing monitoring.
Patient Stories
Real Results, Real People
"I was sleeping 10 hours a night and still couldn't function. My doctor said my labs were 'normal.' Dr. Crifase found my cortisol was flatlined, my iron was depleted, and my thyroid was underperforming. Three months later I got my life back."
Karen D.
HPA axis dysfunction, age 45
"I thought chronic fatigue was just my life now. Dr. Crifase found reactivated EBV and severe B12 deficiency. Treating the root causes gave me energy I hadn't felt in years."
James B.
Chronic fatigue syndrome, age 39
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